Adolescent Deliveries in Owo, Ondo State; its Prevalence and Obstetrics Outcome
Olorunfemi Oludele Owa*, Akinbowale Romance Eniowo, Gbenga Adedokun Otunla and Monehin OJ
ABSTRACT
Background: Adolescent pregnancy is a pregnancy in a biologically, physically and psychologically developing girl child between the ages of 10 - 19 years.It is a public health and social problem worldwide. In recent years, there has been an increased interest in and concern about the problem of adolescentpregnancy and parenthood. Too young and too early parenthood can affect the obstetrics outcome and even future reproductive performance in a girl child.
Aim: To determine the prevalence and obstetric outcomes of teenage pregnancy carried to viability at Federal Medical Centre Owo, Ondo State, Nigeria.Methods: A retrospective case review of all teenage pregnancies carried to viability seen at the Federal Medical Centre Owo between January 1, 2018, andDecember 31, 2023. Information was obtained from the hospital records. Data obtained was then coded, cleaned and analyzed using IBMM SPSS version21.0 software. Descriptive statistics such as frequency, means and percentages were used to summarize the data. Chi square test was used to establish whether there is any association between variables.
Result: Adolescent pregnancy was present in 2.0% of the 4,928 pregnancies and deliveries records that were reviewed. Obstetric outcomes of the adolescent pregnancies revealed 77 (78.6%) spontaneous vaginal births, 21 (21.4%) delivered by caesarean section and 2 (1.0%), instrumental deliveries. Foetal distress, cephalopelvic disproportion and pre-eclampsia were the most often seen problems among teenage pregnant women.
Conclusion: This study showed prevalence of adolescent pregnancy of 2.0 % which was less than national average, the obstetrics outcomes appear to increase the risks to the teenage mothers
